Use of Extra Deep Guide-Catheter Intubation for Rotablation-Facilitated Percutaneous Coronary Intervention of the Right Coronary Artery

We describe a case of an 84-year old gentleman undergoing PCI of a heavily calcified and stenotic right coronary artery. Rotational atherectomy was employed, but due to difficulties in wiring and burr advancement, extra deep guide-catheter intubation was used to provide support and facilitate advancement of the burr and subsequent stent deployment. An approach with careful extra deep guide-catheter intubation in rotablation is an option that might be considered for selected cases with severely stenotic, calcified, angulated lesions.